| NPI | 1003591298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI MARIE ATKINS Co Owner 706-431-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |