| 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 |