| NPI | 1700129434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA POPE Lead Clinician 770-356-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW 004591) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |