| NPI | 1730528878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE CLIFTON ROBINSON Executive Director 706-249-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 2120) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |