| NPI | 1801292008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A DIFABIO President 770-240-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC0002372) |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2014-11-15 |