| NPI | 1316792559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY PARKER MILLER Office Manager/ Owner 678-992-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |