| NPI | 1639693047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA THOMAS Director/Owner 770-217-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW004791) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |