| NPI | 1023543790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN CHURCH Counselor 678-662-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw006026) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |