| NPI | 1104798438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREA R RUSSELL CEO 678-709-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |