| NPI | 1396484812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WAYNE COX Director/Therapist 678-469-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |