| NPI | 1679028971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LARSON Licensed Professional Counselor 678-332-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009039) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-09-21 |