| NPI | 1881940260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNN CANTRELL Director Of Operations 706-692-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |