| NPI | 1427374024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE H CECCOLI Owner 770-838-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC5686) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |