| NPI | 1740602002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER CLEVELAND LEWTER Clinical Director 404-216-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 006999) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-06-23 |