| NPI | 1831428234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY V THOMAS Owner/Operator 404-587-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |