| NPI | 1689996787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN VERWAYNE Executive Director 404-684-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 00220107) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |