NPI | 1750743076 |
---|---|
Entity Type | Organization |
Authorized Contact | LINETTE LESLIE-FONDON CEO 706-593-0827 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC003879) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2016-03-25 |