| NPI | 1942660956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY ROGERS Owner 706-363-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008713) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |