| NPI | 1710363536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD BRYANT Clinical Director/Owner 678-403-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008490) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |