| NPI | 1235973488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASSITY TODD CEO 678-431-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171400000X |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |