| NPI | 1801193081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JANE MEZZA Owner/Licensed Professional Counsel 678-978-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC 4731) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |