| NPI | 1396943320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD FARMER CFO 678-458-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC003793) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |