NPI | 1093029019 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA LEE Partner 912-486-7590 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005560) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000892) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2010-08-02 |