| NPI | 1083168652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY S. POLLARD Partner 706-259-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 14088833) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |