| NPI | 1376797423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN CONNETT Owner 706-565-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000590) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2009-01-06 |