| NPI | 1326854191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CLANTON Board Member 404-914-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |