| NPI | 1982096939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M NUMMERDOR Owner / Counselor 678-941-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC006575) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2021-05-12 |