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 |