| NPI | 1982047759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL GREGINALD CARTER Counselor 706-570-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC006501) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |