| NPI | 1245919430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RACADAG Office Manager/Co Owner 706-613-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-28 |