| NPI | 1689328866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN HALLUMS Owner 470-844-6908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |