| NPI | 1275145724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE DEAMS Owner 678-613-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-06-28 |