NPI | 1467645044 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNETTA B SPARKS CEO/Director 770-981-2903 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 113193193A) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-08-27 |