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 |