| NPI | 1689125320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE D NEELEY CEO 770-235-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007659) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |