| NPI | 1790514263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE LYNN MARSHALL Owner 770-284-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |