| NPI | 1871957670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMAN SUZANNE CLARK Owner 678-933-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC004465) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |