| NPI | 1467838763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P. SMITH Licensed Professional Counselor 770-572-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 0004523) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |