| NPI | 1770820235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET T BRUGGEMANN Owner 678-848-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006472) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |