| NPI | 1871286773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A HARNOIS Counselor 706-366-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-06-03 |