| NPI | 1790457901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HARRIS Owner 770-309-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-03-02 |