| NPI | 1386066744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCOTT PENNINGTON Therapist 678-642-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008916) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2016-04-25 |