| NPI | 1720402928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTA WELCH CEO 470-554-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 14011940) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |