| NPI | 1558315713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA H MAYFIELD Vice President 770-564-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 034023) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |