| NPI | 1467861138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON Mental Health Counselor 678-524-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |