| NPI | 1154837946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY MICHELLE MILLER CEO 770-599-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw004354) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2024-03-14 |