| NPI | 1740446616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A LALLY Managing Partner 912-429-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 826195542) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |