| NPI | 1699427963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEON LASHAWN SANDERS Counselor/Therapist 678-446-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 225800000X Recreation Therapist | |
| 342000000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |