| NPI | 1730337643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L HAMILTON Clinical Coordinator 404-973-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004110) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-12-19 |