| NPI | 1497987119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W DUKE Provider/Owner 706-769-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC002006) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |