| NPI | 1790236909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FORSCHLER Lmft 706-410-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 0001319) |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2016-10-23 |