| NPI | 1609129188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. MILNER CEO 678-640-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004725) |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2012-10-20 |