| NPI | 1669869863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON R CORDTS Mental Health Therapist 770-289-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA LPC008069) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2023-03-16 |