| NPI | 1194140814 |
|---|---|
| Doing Business As | CAPSTONE CENTER FOR COUNSELING & RELATIONAL TRAUMA |
| Entity Type | Organization |
| Authorized Contact | MARK RICHARDSON Owner 770-744-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |