| NPI | 1740498369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA P CAMPBELL Co Owner 770-271-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001864) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |