NPI | 1508190406 |
---|---|
Entity Type | Organization |
Authorized Contact | NYREE DAWN JACKSON CEO 770-787-8867 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2009-09-24 |
Last Update Date | 2010-03-26 |