| NPI | 1215389549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELE T HERNANDEZ CEO 678-829-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006565) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |