| NPI | 1326720798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DEVANE Owner 470-966-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2025-03-07 |