| NPI | 1760546543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE RUSSELL BENEFIELD Executive Director 706-845-4045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-05-04 |