| NPI | 1679161194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY SIMS Office COO Rdinator 706-903-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-01-10 |