| NPI | 1972774842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONDA BOOKER Owner 706-831-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 121014409) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |