| NPI | 1790083079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA CAMP BALBONI Director 404-467-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005764) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |