| NPI | 1831056829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA MACK Chief Executive Officer 678-383-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |