| NPI | 1457406308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANNALISE ROBINSON Owner 706-218-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004529) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |