| NPI | 1881968584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LASHA WIGGINS Owner/CEO 404-298-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 453088947A) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |