| NPI | 1578827606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE JAMES CAMPBELL Director 678-592-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004685) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2013-10-02 |