| NPI | 1386237543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAPRINCESS FOSTER Clinical Director 478-449-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |