| NPI | 1770105587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYNIA DIONNE HARDLEY Licensed Marriage & Family Therapis 678-609-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |