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 |