| NPI | 1669711610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA L MAYS Counselor/Therapist 678-852-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 4421) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |