| NPI | 1720233562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWIN STARK President 770-541-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY298) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |