| NPI | 1619349065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA EDU Owner/Therapist 404-200-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007650) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |