| NPI | 1457743874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICK D REHRIG Licensed Clinical Social Worker 678-701-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005309) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |