NPI | 1487020384 |
---|---|
Entity Type | Organization |
Authorized Contact | ZANETA WILLIS Owner 478-320-8014 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007903) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2015-08-13 |