| NPI | 1053826412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL POPPELL WEINBERG Owner 706-405-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004604) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2022-09-07 |