| NPI | 1538761663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE SCURRY Owner 470-588-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2024-07-30 |