| NPI | 1467965848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA HERRINGTON-NUNEZ Chief Clinical Officer 478-803-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |