| NPI | 1508058389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GLENN MARKWELL Owner 770-993-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 3565) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2025-12-09 |