| NPI | 1952606899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SMITH Pastoral Counselor 770-554-3110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 10076 NCCA LICENSE) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |