| NPI | 1053727248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FRANCIS DALY CEO 800-910-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 09103511) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 001563) |
| 101YP2500X Counselor, Professional (Licence: GA LPC007306) | |
| 101YP2500X Counselor, Professional (Licence: GA APC003606) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |