| NPI | 1336704360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA BRYANT Director 770-504-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |