| NPI | 1952859829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIR ALLEN DUPREE PEGUES Licensed Professional Counselor 770-882-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 008654) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |