| NPI | 1700244134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BROWN Licensed Professional Counselor 678-858-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC007172) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-01-30 |