| NPI | 1710239546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN E NEAL Owner/Director 678-231-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC004155) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |