| NPI | 1760972038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA KING CEO 478-227-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007036) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC007036) |
| 101YS0200X Counselor, School (Licence: GA 1393590) | |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2018-05-13 |