| NPI | 1407083934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA Y HENDERSON President 678-418-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 005416) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |