| NPI | 1265838544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MCKINNEY Director Of Counseling 404-996-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005316) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003962) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |