| NPI | 1497086656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MELISSA CRUMP Executive Director 404-564-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 136933) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |