| NPI | 1700223328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JONES Director 404-246-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007307) |
| Additional Taxonomies | 251S00000X (Licence: GA 08020963) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-02-03 |