| NPI | 1336844430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN STANFORD Licensed Professional Counselor 678-200-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |