| NPI | 1275176968 |
|---|---|
| Doing Business As | WISHING WELL ATL |
| Entity Type | Organization |
| Authorized Contact | ANISHA COOPER Owner 678-948-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |