| NPI | 1447559885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C WAITE Co Owner / Therapist 404-579-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA mft001175) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA lpc006056) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |