| NPI | 1841622156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE NIXON CEO / Director 706-231-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 992279260A) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |