| NPI | 1619469665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE HICKS Owner 470-553-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-05-21 |