NPI | 1982946828 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAKETA ROBINSON-BRUCE Therapist 404-645-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005567) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2013-03-19 |