| NPI | 1861016537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MOSES Owner 706-616-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2023-07-27 |