| NPI | 1841518784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAFFIE H SLEDGE Owner 706-570-8290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 3707) |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2010-05-15 |