| NPI | 1003263914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKKI CLARK MCCOY Owner 678-322-7935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA CSW005758) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2025-12-02 |