| NPI | 1154476034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OBRADOVICH Owner 404-813-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |