| NPI | 1588062756 |
|---|---|
| Doing Business As | SANDRA V. PHILLIPS |
| Entity Type | Organization |
| Authorized Contact | SANDRA VARNER PHILLLIPS CEO 706-750-4275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006436) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC006436) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |