| NPI | 1396144317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M SMYTH Clinical Director & Psychotherapist 678-856-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008100) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-03-08 |