| NPI | 1467636696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE D. WYATT President 770-449-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 001696) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |