| NPI | 1972641538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G POORE President 770-753-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 1741) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-04-25 |