| NPI | 1669870697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAFRANCINE WELLS BRADFORD Owner 229-630-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001200) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |