| NPI | 1114252426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA R. GRIM Owner/CEO 678-300-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC 615) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2014-08-04 |