| NPI | 1508325366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CARSON CEO 770-364-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |