| NPI | 1477847226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA FAYE SPARKS CFO/Counselor 706-761-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004070) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |