| NPI | 1710330790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITA MARIE GREEN Owner/Counselor 678-396-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006928) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |