| NPI | 1073643482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T. SAMPLES President 770-506-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000125) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-11-30 |