| NPI | 1548572415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHA-RHONDA MICHEA DAVIS Owner 678-602-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003415) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-06-17 |