| NPI | 1306216148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S. METHENY Licensed Professional Counselor 706-210-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC006687) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |