| NPI | 1710416193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD HAMILTON Lpc/Owner 478-290-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008943) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |