| NPI | 1861717985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L. CHRISTIAN-STALLWORTH Executive Director 770-929-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 67146) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2015-03-30 |