| NPI | 1619460433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYON M SMITH Licensed Clinical Social Worker 678-708-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006400) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |