| NPI | 1821443094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CLAWSON Owner 770-778-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC004204) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |