| NPI | 1881979433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA L CORDY Licensed Professional Counselor 678-920-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC004313) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |