| NPI | 1700146131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ASHLEY CEO 678-542-0983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 101ym0800x) |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA 171 M500000X) |
| 251K00000X Public Health or Welfare (Licence: GA 101ya0400X) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |