| NPI | 1912283508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RAY GLAZE President 706-288-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003774) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |