| NPI | 1689604605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CAIN RELEFORD Executive Director 404-762-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA 060-013-D) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-09-14 |