| NPI | 1568691046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE M DURAND Owner 404-431-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC4205) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |