| NPI | 1083000921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA HALL Clinical Director/Counselor 404-500-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-04-26 |