| NPI | 1851589550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY COLE Excutive Director 770-748-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2011-11-08 |