| NPI | 1629264627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYLA P BOWENS Therapist/Professional Counselor 770-478-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC000247) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |