| NPI | 1316024821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BEVERLY MCCOY CEO 478-318-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 011-R-0038) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |