| NPI | 1326590357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA M WOLFREY Owner 678-653-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041S0200X Social Worker, School (Licence: GA 1434958) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-11-06 |