| NPI | 1194174409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYLENE KARA GREEN Director 706-313-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA GA00268C) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-20 |