| NPI | 1447485016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIQUE WOODBURY CEO 770-895-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 08065510) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |