| NPI | 1295037877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA J SMITH Owner 706-975-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 145-01-013-9) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |