| NPI | 1922296813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY COLE Executive Director 770-478-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261Q00000X Clinic/Center | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-11-15 |