| NPI | 1407017577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M. THOMPSON Licensed Professional Counselor 770-317-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 4801) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2008-06-21 |