| NPI | 1538543194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA LEWIS Provider/Owner 706-221-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 007959) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |