| NPI | 1316310428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BRYANT ZELLNER Clinical Director 678-432-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004347) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |