| NPI | 1174069207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEVANDER DYKES Director 678-934-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007614) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |