| NPI | 1518418367 |
|---|---|
| Doing Business As | ANGELA ROE |
| Entity Type | Organization |
| Authorized Contact | TOM FORD CEO 706-638-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |