| NPI | 1962952432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD JORDAN CEO 404-277-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007705) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |