| NPI | 1639940034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E. PASCUAL Owner Clinical Director 404-790-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |