| NPI | 1699809574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE THOMAS SCHRADER Director 770-998-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 0177) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |