NPI | 1497023774 |
---|---|
Entity Type | Organization |
Authorized Contact | FELICIA JONES JENKINS Owner 404-761-0980 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 02619) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 02619) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |