NPI | 1538678586 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN ADAM KERR President 270-535-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006932) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2017-09-21 |