| NPI | 1780966051 |
|---|---|
| Doing Business As | FOUNTAIN GATE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | CRAIG TORELL Executive Director 770-218-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2015-11-03 |