| NPI | 1548635154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY SUZANNE MARKS Mental Health Counselor 678-429-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |