| NPI | 1568842946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H GILLETTE Professional Counselor 404-295-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007990) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |