| NPI | 1710186697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH H. SMALL Executive Director 770-274-3400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CP0000040035) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |