| NPI | 1003943481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SYTSMA President 770-822-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 1970) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-11-01 |