| NPI | 1275217275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLYN POWELL Clinical Mental Health Counselor 678-372-3598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |