| NPI | 1629107933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY SCOTT MATTHEWS President 770-747-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC 003491) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |