| NPI | 1427430313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L. JENNINGS Director/Therapist 404-579-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701004672) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |