| NPI | 1447895107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY W MARTIN Director Of Operations 678-544-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |