| NPI | 1457520660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIO S REYES Licensed Professional Counselor 770-987-7414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 4592) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2013-05-15 |