| NPI | 1720526361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ELLIOTT Owner 770-500-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC6664) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |