| NPI | 1093191389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITHIA ARNOLD Licensed Professional Counselore 678-744-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA LPC007831) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |