| NPI | 1760538581 |
|---|---|
| Doing Business As | RECOVERY CAFE/ LARRY WALTON AND ASSOC. |
| Entity Type | Organization |
| Authorized Contact | TOMMIE L. WALTON President/Owner 706-369-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 000692) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-06-20 |