| NPI | 1780265074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAREKA CROSS CEO 404-201-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |