| NPI | 1245383892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. DAVIS President 706-548-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 1470) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 717) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |