| NPI | 1902388432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRITTIAN PARRAMORE Executive Director 678-568-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-06-02 |