| NPI | 1851615389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELISE SHERI RONEN Owner 678-234-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA NONE) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2016-01-29 |