| NPI | 1083155667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUNDRETTA MYKEL WOOD Owner/Therapist 678-824-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW005912) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |