| NPI | 1336670348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA KISIL MATTHEWS CEO 770-354-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 3359) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |