| NPI | 1952179384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA WILSON Director 678-330-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2026-01-13 |