| NPI | 1861586638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUYETH G NASH CEO Therapist 706-295-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 001991) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |