| NPI | 1912373051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LAYNE Director 404-922-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC008253) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |