| NPI | 1891210902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HART CEO 404-957-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |