| NPI | 1386045078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HINES-BONE Owner 404-480-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007481) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |