| NPI | 1104235696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE G MONTWID Owner/Lpc 770-864-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007468) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |