| NPI | 1477747244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE D GATEWOOD CEO 770-898-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 000723) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-04-30 |