| NPI | 1881952232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMI LENEA WENNEMANN Owner 678-938-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006421) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-24 |