| NPI | 1104285410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCIO WOODY Licensed Psychotherapist 770-220-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA CSW004800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw004800) |
| 101Y00000X Counselor (Licence: GA CSW004800) | |
| 106H00000X Marriage & Family Therapist (Licence: GA CSW004800) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-23 |