NPI | 1588019533 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA POWELL Billing Coordinator 706-421-9262 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA PS-P000238) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2016-04-27 |