| NPI | 1679998942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEWIS KELLEY Administrator 706-896-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: GA 139583) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |