| NPI | 1114316676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DIXON Owner 678-788-7400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 14-000385) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-02-02 |