| NPI | 1356646160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DNETRA N. SMITH Owner 770-328-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 0527) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |