| NPI | 1114765039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE VENEY Marriage And Family Therapist 706-941-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |