NPI | 1588108955 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA BURDEN CEO 404-781-1287 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009224) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009224) |
101YM0800X Counselor, Mental Health (Licence: GA LPC009224) | |
Enumeration Date | 2016-12-05 |
Last Update Date | 2016-12-05 |