| NPI | 1386196871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY OVERDORFF Owner 770-339-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC001347) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-11-11 |