| NPI | 1558600684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JEAN PAGE CEO/Executive Director 678-799-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC00693) |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2013-02-09 |