| NPI | 1669752713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA MARY GRIFFIN Director 404-790-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC001655) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |