NPI | 1912258906 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN E NEAL Director/Owner 678-231-2031 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004155) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2012-10-01 |