| NPI | 1396282943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA P THOMAS Owner/Therapist 678-545-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004618) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |