| NPI | 1699535138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE GARRETT Provider/Owner 404-663-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |