| NPI | 1861913543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN ARNOLD Owner/Operator 770-880-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA APC005853) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-08-24 |