| NPI | 1740416163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FEESER Regional Director 706-364-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005622) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |