| NPI | 1093474751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ANTHONY T HARRIS CEO/Owner 478-918-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-11-15 |