| NPI | 1568806412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'CUANA MATRIA SHERMAN DEW Licensed Professional Counselor 678-768-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC007272) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |