| NPI | 1770736373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HARVEY PRUETT Owner/President 770-656-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC004591) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-09-04 |