| NPI | 1699298661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BALDWIN Owner/Director 706-207-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004819) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-05-26 |