| NPI | 1780957167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CALDWELL OBI Owner 678-389-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005449) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |