| NPI | 1518136076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA STUART TORLEY Program Coordinator 770-603-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-07-02 |