| NPI | 1740503242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS CEO/President 770-891-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 10018261) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |