| 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 |