| NPI | 1124352810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. WHITSON Owner 478-953-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY002828) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |