| NPI | 1922532217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WILSON Chairwoman 678-561-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-11-15 |