| NPI | 1366737330 |
|---|---|
| Doing Business As | ACT TEAM |
| Entity Type | Organization |
| Authorized Contact | WAKEITHA VAIL Credentialing Specialist 912-554-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |