NPI | 1558371492 |
---|---|
Doing Business As | ADOLESCENT TRANSITIONAL LIVING PROGRAM (GIRLS) |
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: NA - Per call to NPI) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2009-05-15 |