| NPI | 1780095950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA SAPP CEO/Owner 770-809-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007896) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2017-04-27 |