NPI | 1063771285 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY WEBB Owner 770-316-1461 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006679) |
Enumeration Date | 2012-05-08 |
Last Update Date | 2012-05-08 |