| NPI | 1750523387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MITCHELL STAPP President/Owner 706-974-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004711) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2011-11-30 |