| NPI | 1013410612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KOHL Licensed Professional Counselor 470-217-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA 009495) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-10 |