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 |