| NPI | 1497299804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MOORE Sole Owner 404-272-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002692) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |