| NPI | 1164839304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA BEVERLY BOWEN Owner 404-547-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT0011342) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: GA APC003243) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2019-01-14 |