| NPI | 1093955205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DENICE COLSON Executive Director 678-289-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 3717) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2022-07-26 |