| NPI | 1730722182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY MARTIN-WOODS Counselor 770-903-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |