| NPI | 1982940425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L GIRGIS Counselor 706-235-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA lpc003389) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-04-08 |