| NPI | 1538695747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY ROSSER Owner/Therapist 770-629-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009368) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |