NPI | 1366931008 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD ERLANDSON Owner 678-653-4273 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008627) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2019-01-22 |