| NPI | 1467605394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA WILKINSON Executive Director 678-446-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 3513-125) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |