| NPI | 1548312358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK GARCIA Service Director 706-568-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NONE) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-06-21 |