| NPI | 1801340799 |
|---|---|
| Other Name | BLACKSTONE |
| Entity Type | Organization |
| Authorized Contact | NIKKI KWONA WRIGHT Director 678-834-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |