NPI | 1720610942 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY SCOTT Owner 478-842-5461 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |