| 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 |