| NPI | 1518445014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRANA CRAIG Director 478-258-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 3852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006446) |
| 1041C0700X Social Worker, Clinical (Licence: GA 3153) | |
| 101Y00000X Counselor (Licence: GA 3852) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |