| NPI | 1306940879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN A. WINDLEY Social Worker 706-733-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: GA CSW003441) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-01-29 |