| NPI | 1962976696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM EUBANKS Director Of Counseling 770-591-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |