| NPI | 1114394749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HIGGINS Therapist 404-647-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007622) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |