| NPI | 1225459266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BURT BAKER Counselor 678-449-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004326) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |