| NPI | 1093189664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLESS RICHEY LEWIS Owner/Clinical Director 770-826-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 005591) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |