| NPI | 1356840250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HOLLIDAY RING Owner 706-254-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA CSW004548) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-11-20 |