| NPI | 1538472980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DINGLER Administrator 404-735-2399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003891) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |