NPI | 1366807489 |
---|---|
Entity Type | Organization |
Authorized Contact | DORICE NEIR Licensed Professional Counselor 770-203-9060 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA LPC008485) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |