| NPI | 1306286778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA A. SWAYNE CEO And Owner 478-719-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004790) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2014-09-30 |