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 |