| NPI | 1942610324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA JONES Licensed Professional Counselor 404-354-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 3100) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MD LC1164) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |