| NPI | 1558728451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEYOUNKA BONNER Co CEO 404-709-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 169359LGB) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |