| NPI | 1427256866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYKE MCCORMICK Secretary 770-826-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003940) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-08-20 |