| NPI | 1235324252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PATRICK WARE Owner/Director/CEO 770-806-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 015695) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |