| NPI | 1760865877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES CARELL Professional Counselor 770-551-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA LPC008424) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |