| NPI | 1508267139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CRISSEY LAMONT President And Founder 571-228-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1-10-6841) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |