| NPI | 1912156498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY C ELLIOTT Therapist/Owner 770-955-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004719) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |