| NPI | 1154723534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA STEBLEZ ASHLEY President 678-458-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA LPC007878) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |