| NPI | 1659911063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODETTA SMILEY Psychologist 478-227-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-11-18 |