| NPI | 1720446180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI RICHARDSON Owner 678-834-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |