NPI | 1760733497 |
---|---|
Entity Type | Organization |
Authorized Contact | SONJA R NEWBERRY Psychotherapist 678-637-1182 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC0005907) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2012-09-20 |