| NPI | 1831430271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURANDOL POWERS Owner/Provider 678-699-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006533) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2015-07-09 |