| NPI | 1912138710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY HIEGER Owner 404-388-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005028) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2012-07-03 |