| NPI | 1427434554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD RHETT CEO 678-324-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |