| NPI | 1104508431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIQUICHA HARRIS Director 678-852-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 171400000X | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |