| NPI | 1528400926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MICHELLE KEYS Owner 678-574-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GU 004316) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |