| NPI | 1700013224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ERIC NEAL Owner 678-231-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc004155) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2010-06-15 |