| NPI | 1710308994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATIKA BROOKS Business Manager 706-288-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2013-12-14 |
| Last Update Date | 2013-12-14 |