| NPI | 1750697694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LORELLE TAYLOR Executive Director 404-295-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005863) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |