NPI | 1629314349 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE AGUERO MCGARVEY Owner 770-932-2899 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC005703) |
Enumeration Date | 2012-12-27 |
Last Update Date | 2012-12-27 |