NPI | 1689939076 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULINE HENRY Owner 706-587-8986 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 108544) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |