| NPI | 1396097093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN H NEWMAN Staff Nurse 678-326-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA RN149839) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |