| NPI | 1306168190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE JAMES CAMPBELL Executive Director/Administrator 678-592-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |