| NPI | 1104005339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D. HARRIS Owner/CEO 770-607-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004239) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |