| NPI | 1831419639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE D POWELL CEO 706-653-0068 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC2759) |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA LPC2759) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |