| NPI | 1992174015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA QUINLAIND BAILEY BROOKS Owner 404-867-8217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW 4117) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2018-10-08 |