| NPI | 1649515826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS RAINES Owner/CEO 770-298-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC002580) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |