| NPI | 1194149583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNETTE CLARK Office Manager 404-513-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004633) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |