| NPI | 1912220245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LONG HOWARD Family Therapist 770-634-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA MFT001104) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |