NPI | 1134661945 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA B SHERIDAN Owner, Therapist 678-595-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 005777) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2016-11-09 |