| NPI | 1750964458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI PFEIFFER Founding Clinical Director 706-850-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |