| NPI | 1851784706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANISHA SHERRELLE BRANT Case Support Worker 706-593-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |