| NPI | 1285182303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHA JOHNSON Owner 678-670-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2022-05-25 |