| NPI | 1689070567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. KAY MCCROSKEY Owner 678-566-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000903) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |