| NPI | 1538214374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY A TRIBBLE Executive Director 478-289-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-03-17 |