| NPI | 1255743837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TOLEDO Director 404-312-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW004248) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |