NPI | 1710341011 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLETTE CHAIN CULBREATH Owner 678-933-6526 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008852) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2016-04-12 |