| NPI | 1154625424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA B CORCORAN Executive D Irector 404-512-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |