NPI | 1518412667 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS DEVON WILLIAMS President 770-710-7335 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001192) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-18 |