| NPI | 1215260153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BRUCKNER Owner/Clinical Social Worker 770-645-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003290) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |