| NPI | 1740497924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY ALEXANDER Executive Director 706-596-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004754) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-10-29 |