| NPI | 1083334148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASAUNDRIA WALKER Owner 706-691-9278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-06-08 |