| NPI | 1568873420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA WILSON Counselor 770-820-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC007401) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |