| NPI | 1497297592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M JAMISON Social Worker 678-437-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 005038) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2017-10-19 |