| NPI | 1053671321 |
|---|---|
| Doing Business As | DEVONA M. STALNAKER |
| Entity Type | Organization |
| Authorized Contact | DEVONA M STALNAKER Owner 678-318-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004683) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |