| NPI | 1134735202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIDLINE DALAMBERT-DUCENA Executive Director 404-419-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |