| NPI | 1861085185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA KENYATTA HOWARD Chief Executive Director 478-238-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-17 |