| NPI | 1346698461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA WADE Therapist 706-825-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC004984) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |