| NPI | 1679918270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANDRA C MUOMAH LLC Member 404-421-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 0556692) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |