| NPI | 1730439738 |
|---|---|
| Other Name | MICHELLE ZODY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLAIRE ZODY Owner 678-576-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 0103954) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |