NPI | 1043677362 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMIKA L. SUMMERS Owner/CEO 470-878-1359 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA MFT001305) |
Enumeration Date | 2016-01-17 |
Last Update Date | 2023-12-11 |