| NPI | 1780014720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN FRASER Owner 678-880-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc005635) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |