| NPI | 1427469931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA HANSON-KAHN Clinical Director 770-329-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC00002476) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |