| NPI | 1821542614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LASKOWSKE Manager 423-208-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008648) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |