| NPI | 1295279800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHLANDRA O JOHNSON Owner/Therapist 478-334-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC00423) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |