| NPI | 1962678540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE DAVIS MINTER Managing Member 678-526-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004278) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |