| NPI | 1407090525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHANTATE JOHNSON Chief Executive Officer 678-344-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2016-01-19 |