| NPI | 1629896790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKIA HOLANDIA RAINES Owner/Administrator 470-202-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |