NPI | 1689070567 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCINDA KAY CARDWELL Owner, Administrator, Provider 678-948-5526 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000903) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2025-02-05 |