| NPI | 1659744829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND MICHAEL CAPPARUCCI Professional Counselor 404-788-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC008633) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |