| NPI | 1861240871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLEEN ANNETTE FULLER CEO 404-518-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-08-30 |