| NPI | 1053726265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE GAINSBRUGH Owner / Therapist 678-709-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007774) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |