NPI | 1942870290 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN MICHAEL ROBERTS CEO 706-514-6341 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-06-29 |
Last Update Date | 2022-05-11 |