| NPI | 1003574625 |
|---|---|
| Doing Business As | LISA DOSS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GIBSON Manager 706-638-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |