| NPI | 1578981593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLI PRUITT Owner/Counselor 678-939-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007126) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |