| NPI | 1306176797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY C WILSON Owner 770-832-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc002748) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |