| NPI | 1760786735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MACK Executive Director 478-745-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC006007) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |