| NPI | 1053917716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BUMGARNER CEO 678-827-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 103TH0100X Psychologist Health Service | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-09 |