| NPI | 1851693741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BILLINGSLEY President 678-382-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 499) |
| Enumeration Date | 2010-11-26 |
| Last Update Date | 2010-11-26 |