| NPI | 1386193142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN COLLIER Owner 404-618-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004918) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2017-04-25 |