| NPI | 1235665514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CHRISTOPHER ROSS Owner 706-662-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3064) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |