| NPI | 1184980369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LW MILLER Manager 404-429-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 004839) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |