| NPI | 1225391261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEL DONNA HIMELSTEIN Owner 678-492-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004745) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |