| NPI | 1982923835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THEODORE HESTER CEO 770-870-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005961) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3472) |
| 251J00000X Nursing Care (Licence: GA LPN070659) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 1003-0705) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |