| NPI | 1710380639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DENISE CORTINA-RODRIGUEZ Marriage And Family Therapist 770-712-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA AMFT000343) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |