| NPI | 1588081541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA D. HAYES Clinical Director 678-662-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006959) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |