| NPI | 1760871685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA S MCGINNIS Therapist 770-815-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008187) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |