| NPI | 1700062437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA SMITH Owner 706-432-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005104) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-17 |