| NPI | 1497256135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY COLLIER Owner/Therapist 770-315-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006308) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |