| NPI | 1316454242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE ELAINE DILBECK Owner 478-202-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007724) |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2018-06-16 |