| NPI | 1326211681 |
|---|---|
| Former Legal Business Name | PEACHTREE COUNSELING CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | LOREN TODD SANDEL Executive Direcotr 404-842-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002524) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |