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 |