| NPI | 1841328960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA RILEY Executive Director 229-244-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CPFC001072) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-04-02 |