| NPI | 1871828509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN PAIGE MONTGOMERY Owner 678-413-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 4154) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |