| NPI | 1093857419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN WOLFE Owner Director 770-445-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 888) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |