NPI | 1275012163 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMONICA D GREEN President 678-899-5871 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc009818) |
Enumeration Date | 2018-08-10 |
Last Update Date | 2018-08-10 |