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