| NPI | 1295978716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS J. GREEN CEO 404-346-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA lpc003694) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |