| NPI | 1033666839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE LENE DASH Clinical Counselor/Proprietor 770-990-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 180006014) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |