| NPI | 1689058687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENA BLANCHARD Owner 678-829-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007687) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |