| NPI | 1700132099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE D ELLIS Owner 678-732-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004352) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |