| 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 |