| NPI | 1982187068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITHE BREANNE KIMSEY Exective Dir/Ce Oector 770-329-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |