| NPI | 1922145325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWANDA B. JACKSON CEO 404-286-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC002390) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-06-19 |