| NPI | 1205563384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA GARVIN Therapist 678-365-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |