| NPI | 1760768246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MEDEIROS Business Manager 912-356-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: GA PSY003415) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2012-03-13 |