| NPI | 1780458349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOQUITA D ROBERTS CEO 706-341-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |