| NPI | 1538123104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT BENJAMIN MORAVITZ Executive Director 678-524-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003627) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-06-21 |