| NPI | 1063804151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORIS EDWARDS Owner 678-858-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW004505) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-07-06 |