NPI | 1316266398 |
---|---|
Other Name | ACI |
Entity Type | Organization |
Authorized Contact | NATALIE ALLENE NICHOLE ELLIOTT Director 888-788-4624 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001249) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC00006664) |
Enumeration Date | 2010-05-29 |
Last Update Date | 2013-11-14 |