| NPI | 1417415316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWILYNN MARIE JOURDAIN Owner, CEO, Clinical Director 678-805-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-09 |