| NPI | 1336948405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BENSON CROWDER-KALLA Owner 706-590-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |