| NPI | 1104368984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A OCONNELL Owner 404-919-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008091) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2020-01-15 |