| NPI | 1033512686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE SUKIENNIK Licensed Clinical Social Worker 678-720-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005178) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |