| NPI | 1811644677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE PETERMANN Licensed Professional Counselor 706-580-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |