| NPI | 1124504071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA CHRISTIE CEO 678-235-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2025-02-01 |