| NPI | 1649403015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS QUERY Counselor 770-587-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc001531) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2016-10-24 |