| NPI | 1255571709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY C PEARSON Owner/Director 229-599-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001116) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |