| NPI | 1720531767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KATHRYN SMITH Owner 770-367-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003510) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2022-08-25 |