| NPI | 1407197890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE STORRUSTEN Owner/CEO And Therapist 678-568-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw004317) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |