| NPI | 1639847775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORETTA GREEN President 478-304-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2022-07-21 |