| NPI | 1942509096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA FELICIA LANDIS Rehabilitation Counselor 404-396-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 00073318) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |