| NPI | 1760933287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RONAY RICHARDSON Psychologist 678-424-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007466) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |