| NPI | 1770754079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABLE OVERTON Executive Director 404-916-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004026) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2012-12-07 |