| NPI | 1578885505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BRYANT ZELLNER CEO 678-898-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004347) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC004347) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC004347) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |