NPI | 1780077370 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN OBIKA PHD., LPC Owner/Facilitator 706-284-1464 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5095) |
Enumeration Date | 2015-03-06 |
Last Update Date | 2017-04-05 |