| NPI | 1144628322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE TORELL Owner 770-337-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc006555) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |