| NPI | 1972320984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE THOMAS Owner/Provider 706-979-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-21 |
| Last Update Date | 2024-09-21 |