| NPI | 1770149866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRICE MADDOCK CEO 706-596-8731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |