| NPI | 1851730089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN WEITZMAN SWAIN Owner 706-552-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY002033) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |