NPI | 1740656909 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN BROWN Registered Agent 678-824-2768 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008408) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC008408) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2015-08-11 |