| NPI | 1508482993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALEE NOTAYA JACKSON Licensed Professional Counselor 678-770-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-05-19 |