| NPI | 1083306633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ATKINSON Owner 770-758-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-10-09 |