| NPI | 1639712425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRO A OLSZANSKI Owner 706-463-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |