| NPI | 1922580448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WALTHOUR Clinical Director 678-750-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001585) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-06-28 |