| NPI | 1801274311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENIKA TURNER Owner 762-400-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: GA LPC008401) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2022-09-02 |