| NPI | 1528342847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER V MURRAY CFO 678-658-0384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004700) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |