| NPI | 1407259112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SMITH Licensed Professional Counselor 706-232-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008021) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |