| NPI | 1043051501 |
|---|---|
| Doing Business As | HEALING SPACE OF ATHENS, LLC |
| Entity Type | Organization |
| Authorized Contact | ALINE ROBOLIN Counselor 706-425-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-09-04 |