| NPI | 1508155276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY B HANKINS President 706-913-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: GA 4989) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-06-13 |