| NPI | 1114425204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRION D LALOR CEO 678-753-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006638) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |