| NPI | 1811034317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIANA BAGLEY CEO 404-968-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC001132) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-05-19 |