| NPI | 1124426903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA G MCMICHEN Owner 678-858-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC4440) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |