NPI | 1720509235 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIE A PHILLIPS Managing Director 404-545-1239 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC007634) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2022-07-21 |