| NPI | 1902265333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ZELLNER Director Of Clinical Services 678-432-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |