| NPI | 1366794315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY O.C. FRAZIER CEO 404-713-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006754) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-11-13 |