| NPI | 1558431486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY YUSUFF CEO 678-377-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 2006023494) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |