| NPI | 1255740593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BAKER Owner 678-948-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001327) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |