| NPI | 1750243978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN THOMPSON Licensed Clinical Social Worker 770-316-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |