NPI | 1770878894 |
---|---|
Other Name | GEORGIA CENTER FOR YOUTH |
Entity Type | Organization |
Authorized Contact | DEENA G. OMBRES Assoc. Gen. Counsel/Privacy Officer 502-394-2387 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA CCI001717) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2011-06-16 |
Last Update Date | 2011-07-06 |