| NPI | 1770904369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MAGILL Owner 404-953-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW04551) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |