| NPI | 1700250230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY ELY Licensed Professional Counselor 770-568-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC008539) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |