| NPI | 1255631818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOSEA Director/Owner 706-216-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 3106) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |