| NPI | 1811775216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L EDWARDS Owner 706-814-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |