| NPI | 1023999786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREONA KELACIA ANDERSON Owner 706-773-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |