| NPI | 1710241955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | U'LAWNDA LEWIS Psychotherapist 678-252-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005393) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |