NPI | 1174925671 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EDWARD EPPERLY President 678-566-0403 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA 553) |
Enumeration Date | 2014-09-16 |
Last Update Date | 2024-06-11 |