| NPI | 1841741485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS D WILLIAMS Owner/President 770-710-7335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA MFT001192) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |