| NPI | 1578361689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY HOLLAND Professional Counselor Of Mental He 770-769-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |