| NPI | 1861985327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY O MEJIAS Owner 770-383-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA CSW005931) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-06-10 |