| NPI | 1629207204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK F BRECHTEL President 706-372-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: GA PSY002805) |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2011-03-01 |