| NPI | 1730426594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD V. KOCHAN Office Anger 404-791-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003766) |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-01-12 |