| NPI | 1306256664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HINDS Owner 404-989-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW005052) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |