| NPI | 1952710337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALDWIN Owner/Director 678-631-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008427) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2019-06-13 |