| NPI | 1205589348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN NIETO Owner/Founder 678-643-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-01-29 |