| NPI | 1316694250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COLOMBO Owner 770-652-6948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |