| NPI | 1588919609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA RENEE RUTKOWSKI Director 470-214-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004620) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2012-07-15 |