| NPI | 1740540533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEE R BROWN Executive Director 770-979-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 006296) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2014-06-13 |