| NPI | 1942428610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALICE C JENKINS President 770-593-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA APC000944) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |