| NPI | 1700658614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS Owner 770-882-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-07-16 |