| NPI | 1912314246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. SELENA COLEMAN Pastoral Care Counselor & Therapist 678-908-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 09134046) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-09-06 |