| NPI | 1245542182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE KING Owner 678-643-7823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 002738) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |