| NPI | 1962952184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BURNETT Executive Director 770-495-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC008922) |
| Additional Taxonomies | 251S00000X (Licence: GA LPC008922) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |