| NPI | 1255884433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MCMANUS DIXON Owner 404-439-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008476) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-11-28 |