| NPI | 1346753175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD W ERLANDSON Owner 678-653-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008627) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |