| NPI | 1780467027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSHIKA C. HUBBARD-JAMES Owner 706-372-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-09-11 |