| NPI | 1417463571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA DIONNE SHIRLEY Owner 478-922-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001503) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |