| NPI | 1013306265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON W ROQUEMORE Owner 678-760-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC000524) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000232) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |