| NPI | 1750533576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATOLIE NICOLE GRAY Counselor 770-512-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005397) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |