| NPI | 1184384372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY PETERSON Owner 678-538-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |