| NPI | 1114252079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER MARQUIS MCCASKEY CEO 706-530-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TS0200X Psychologist School | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2023-09-05 |