| NPI | 1982770053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD W MCRAE Owner 706-323-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC 000765) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000330) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |