| NPI | 1619222973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CLOFINE Therapist 706-353-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 2742) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |