| NPI | 1831639178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SEAMON Owner 470-776-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC009321) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |