NPI | 1548718232 |
---|---|
Entity Type | Organization |
Authorized Contact | HAILEY SISK ROJAS Owner 404-797-5586 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW005734) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-09-12 |