| NPI | 1003072703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA D HAWKINS Owner 678-576-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 003303LPC) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |