| NPI | 1548782501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSAUNDRA GRAY CEO 770-899-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 007492) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 007492) |
| 101Y00000X Counselor (Licence: GA 007492) | |
| 101YM0800X Counselor, Mental Health (Licence: GA 007492) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |