| NPI | 1639452105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANG N NDUKWE CEO 678-518-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 044-R-0675) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |