| NPI | 1790397164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WESTBROOK Owner 404-989-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2022-01-26 |