NPI | 1245696723 |
---|---|
Entity Type | Organization |
Authorized Contact | ERLESE M CARUTH Director 678-480-8302 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006820) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2016-01-20 |