| NPI | 1013459957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWAYNE GRANT CEO/Therapist 678-215-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |