| NPI | 1285143685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RICHARDSON Owner/Provider 478-442-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003950) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-07-17 |