| NPI | 1750708020 |
|---|---|
| Doing Business As | ELIZABETH EYVONNE POOLER |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EYVONNE POOLER CEO/President 478-304-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1400005905) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-09-19 |