| NPI | 1326307679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN L HOLT President 478-954-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL p12000041389) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |