| NPI | 1801012398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESTY MILLER Director 404-299-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 00134945) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |