| NPI | 1427674589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA BANEGAS CEO 770-316-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2022-01-05 |