| NPI | 1235593286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROSE DUFF Owner 404-518-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008763) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-05-10 |