| NPI | 1154081750 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER PAIGE FORSHAY-RODEFER Owner/Therapist 478-227-0993 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2021-12-22 | 
| Last Update Date | 2021-12-22 |