NPI | 1023398161 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE JONES CULBRETH Owner/Operator 770-674-8415 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006482) |
Enumeration Date | 2011-08-21 |
Last Update Date | 2011-08-21 |