| NPI | 1497132914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA MILLER Family Consultant 478-464-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008321) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |