| NPI | 1114275328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MACK Executive Director 478-745-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005010) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |