| NPI | 1134652001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA NICOLE OWENS Owner/Licensed Therapist 678-408-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC008276) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |