| NPI | 1841826658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY C POPE Licensed Professional Counselor 706-231-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2024-12-30 |