| NPI | 1962616912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA EVELYN SANFORD Executive Director 404-524-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-09-16 |