NPI | 1790202794 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE FLAGG Chief Executive Officer 678-764-4697 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CSW005244) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2017-08-29 |