| NPI | 1477902716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE M POOLE Organizer 770-540-4639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001279) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |