| NPI | 1962275230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE JONES CEO 678-743-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 174H00000X Health Educator | |
| 225600000X Dance Therapist | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |