| NPI | 1699100941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKO JONES Owner/Director 404-492-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA LPC007338) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-04-08 |