| NPI | 1942474184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WEBB Office Manager 770-396-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |