| NPI | 1003635731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MICHELE TOLLESON Owner, Clinical Supervisor 470-684-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |