| NPI | 1154443240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LYNN SMITH Executive Director 770-535-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA CSW003717) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2015-12-17 |