| NPI | 1982146569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA STOKES Executive Director 770-912-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 16090892) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |