| NPI | 1619680931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN GARLAND Credentialing 404-213-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-03-04 |