| 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 |