| NPI | 1295211167 |
|---|---|
| Doing Business As | BUMP CANCER |
| Entity Type | Organization |
| Authorized Contact | WYLLIE V MCGRUDER Owner/Director 706-358-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010144) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |