| NPI | 1649722794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SKIDMORE Licensed Clinical Social Worker 404-643-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW004895) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |