NPI | 1255713764 |
---|---|
Other Name | TEEN CHALLENGE GA. INTL |
Entity Type | Organization |
Authorized Contact | CATHY A PICILLO Billing Company 954-993-7165 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP1600X Counselor, Pastoral | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2015-06-19 |