| NPI | 1700839735 |
|---|---|
| Doing Business As | SOUTHERN BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MIONA G GORDON President 478-742-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 004182) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000992) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-08-26 |