| NPI | 1114892726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA S WILDER Licensed Clinical Social Worker 770-231-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |