| NPI | 1376832832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY SUMPTER Admin 404-378-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004404) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2015-04-17 |