| NPI | 1154848067 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANYALE WEEMS CEO/Founder 470-244-2574 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW005581) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX LCSW60265) | 
| 101YM0800X Counselor, Mental Health (Licence: CO CSW.09923102) | |
| 101YM0800X Counselor, Mental Health (Licence: FL SW11578) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-08-23 | 
| Last Update Date | 2022-07-21 |