NPI | 1164655387 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA WYNN Owner 770-689-6537 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004071) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2009-09-04 |