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 |