| NPI | 1568141430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE ANTHONY HALBUR Therapist / Director 706-726-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-28 |