| NPI | 1760653984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A JOSEPH Team Leader 404-346-3471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC004942) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |