| NPI | 1649097643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LASHON RANSOM CFO 678-755-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |