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 |