| NPI | 1942610845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYDE J WASHBURN Owner/Counselor 706-594-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 012692) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC003428) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC002077) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |