| NPI | 1023490117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN HIGGINS Owner 770-912-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007422) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |