| NPI | 1003113184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND ORVILLE MAUL Owner 770-679-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT 001191) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2024-02-07 |