NPI | 1578704250 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY CHRISTOPHER Owner 678-838-8333 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005249) |
Enumeration Date | 2009-03-10 |
Last Update Date | 2010-05-26 |