NPI | 1396114880 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANETTE A. MCCLELLAN Licensed Professional C Ounselor 678-371-4580 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005648) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2016-06-23 |