| NPI | 1215439427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA MEADOWS Owner 706-221-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008601) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 511466) |
| 251S00000X | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-03 |