| NPI | 1518377472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA COPELAND CEO 478-953-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 001043) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |