NPI | 1649347931 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL ROBERT DOUGHERTY Lpc President 770-386-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 00884) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |