| NPI | 1700329646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ADENIYI Owner 571-447-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007860) |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2016-11-26 |