| NPI | 1225421076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON GAMBLE BROWNE Counselor/President 678-596-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC008296) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT009630) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-20 |