| NPI | 1356671531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA JONES Business Manager 866-945-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 441931037035) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-02-12 |