| NPI | 1700104577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN AMANDA DELLINGER Managing Member 678-986-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC002412) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002412) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2011-12-12 |