NPI | 1689033060 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN M. JETT Owner 706-951-2182 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA csw003221) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2024-01-26 |