| NPI | 1457981763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA ELIZABETH HARRIS Owner/Therapist 678-270-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-26 |