| NPI | 1730572462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ELAINE STURDIVANT Sole Member 678-687-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004852) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |