| NPI | 1447799218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE RICKMAN Owner 404-403-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW3678) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |