NPI | 1013668193 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL R BRYANT Therapist 678-663-5645 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-01-11 |
Last Update Date | 2022-01-11 |