| NPI | 1922104033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE RUSSELL BENEFIELD Executive Director 706-845-4045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-06-21 |