| NPI | 1043609654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAEL BYRON Owner/C.E.O 706-553-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2017-01-04 |