| NPI | 1700289063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN WITBECK Co Owner 404-713-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001334) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |