| NPI | 1780874008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE G DAY Chief Executive Officer 229-402-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA LPC003534) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |