| NPI | 1528489473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K HARDY Owner 770-317-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005742) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2016-06-21 |