| NPI | 1487149274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERVON HAMILTON Counselor/Director 404-665-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009947) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |