| NPI | 1063607653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED GAYLE-BROWN Administrator 404-534-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 044645D) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |