NPI | 1952841306 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTA ENGELSON Owner 678-252-8087 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA MFT001423) |
Enumeration Date | 2017-03-05 |
Last Update Date | 2017-03-05 |