| NPI | 1134748676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID SHORTER Owner/Therapist 770-376-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-06-17 |