NPI | 1134667587 |
---|---|
Entity Type | Organization |
Authorized Contact | TASCHOVIA SMITH Licensed Professional Counselor 404-918-8791 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: GA LPC008917) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-03-16 |