NPI | 1548778095 |
---|---|
Entity Type | Organization |
Authorized Contact | ELANA MICHELE KLEMM Counselor/Director 404-783-7086 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC0001794) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2019-10-22 |