| NPI | 1861636524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FOSTER CEO 770-337-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004032) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2009-04-26 |