| NPI | 1134577489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKETHIA DENISE OGOE Mac/Owner 770-472-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 572508122010) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-08-05 |