| NPI | 1285090662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA BRASWELL Lpc 478-328-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007440) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |