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 |