| NPI | 1851440507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE CIANFAGLIONE Owner 678-246-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC003523) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC003523) |
| 101YP2500X Counselor, Professional (Licence: GA LPC003523) | |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC003523) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |