| NPI | 1700472297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER FLANNERY Director/Counselor 470-205-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2025-03-14 |