| NPI | 1518066331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIA HARRELL Director 706-322-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003522) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002147) |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT000288) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |