| NPI | 1942374343 |
|---|---|
| Doing Business As | TIFT C&A OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHARLES R POWELL Chief Executive Officer 229-671-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-03-17 |