| NPI | 1003057746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE MAYFIELD President 678-571-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 2583) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |