| 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 |