| NPI | 1427225655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE RUSSELL BENEFIELD Executive Director 706-845-4045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2019-03-18 |