| NPI | 1538617675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GLAESER President 404-358-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 005558) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 001464) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |