| NPI | 1710387063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE SHAHEEN-BALL Owner 678-227-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 007940) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2014-08-23 |