| NPI | 1417342718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIB A EL Practitioner 404-840-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007081) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-07-13 |