| NPI | 1356860191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY COOGLE HUBBARD Owner 706-940-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 009586) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2021-07-07 |