| NPI | 1700503844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL SKEETE Director 706-577-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |