| NPI | 1508304932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE R CHAMBERS Owner 478-832-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005857) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: GA 17008045) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-09-04 |