| NPI | 1336398742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BURRELL TOWNSEND Owner 678-521-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA csw002958) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2011-05-18 |