| NPI | 1609282698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GATLIN Executive Director 229-228-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 136-608D) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |