| NPI | 1104194687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHIDA THOMAS Therapist 678-400-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006469) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |