| NPI | 1285091769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HARPER Lcsw 770-789-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW005599) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |