| 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 |