NPI | 1063852051 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAELLE MYRTHIL Psychotherapist 678-697-7018 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004380) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2013-07-05 |