| NPI | 1396091138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURITA M HODGE Owner 770-306-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006683) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |