| NPI | 1649508995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR GAYE STEVENS Owner / Therapist 770-642-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 000547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 000557) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |