NPI | 1942327556 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMMY AARON BOONE President 678-313-3549 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 02955) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2013-09-03 |