| NPI | 1164650842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA STUBBS KING Owner 678-833-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005206) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |