NPI | 1972361269 |
---|---|
Entity Type | Organization |
Authorized Contact | TONYA LYNN SUMNER BROWN CEO/Clinical Supervisor/President 678-978-9391 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YP2500X Counselor Professional | |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-28 |