| NPI | 1689001117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIEN KELLAM President/Licensed Psychotherapist 770-875-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005815) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |