| NPI | 1750250742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE LANE Executive Director 678-677-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |