| NPI | 1750821203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA A GREEN Behavorial Health Nurse 404-492-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA RN175200) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |