| NPI | 1235671488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. LORRAINE HURSEY DENG Lcsw 678-632-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw005074) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |