| 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 |