| NPI | 1770073488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG GRIFFIN Owner 770-310-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 05099410) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |