| NPI | 1497955876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI L MEADOR Owner 770-597-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004794) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |