| NPI | 1477291748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONETTA MORGAN Director 678-457-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |