| NPI | 1033549027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MCGHEE GIBBS Owner 678-429-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007079) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |