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 |