| NPI | 1326720798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DEVANE Owner 678-699-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |