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 |