| NPI | 1992946842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE T FARMER C.E.O. 770-552-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 01876) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |