| NPI | 1285092221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA RICE Counselor 404-884-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008756) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-10-21 |