NPI | 1063606598 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISSA B NAMIRR President 678-640-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004505) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-08-28 |