| NPI | 1730513508 |
|---|---|
| Doing Business As | ODELL VINING |
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH VINING Co Owner 706-575-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |