| NPI | 1841686433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LAKE-SMITH Mental Health Counselor 678-886-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |