| NPI | 1568766798 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BARBARA BROOKS MUNRO Director Of Operations 912-414-0245  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2011-01-03 | 
| Last Update Date | 2011-01-03 |